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personality disorders explained

Antisocial Personality Disorder, Codependence, Narcissism and Borderline

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Treatment for Depression Co-occurring with Borderline Disorder<br />

If you think you have the symptoms of either type of depression, immediately<br />

alert your psychiatrist. If appropriate, the treatment for depression frequently<br />

involves the addition of an antidepressant, an increase in dosage if one is already<br />

being used, and/or the use of behavioural techniques.<br />

There are no controlled studies on the relative effectiveness of different<br />

antidepressants for the treatment for depression in people with borderline<br />

disorder. However, studies of these <strong>disorders</strong> in people without borderline<br />

disorder, and experience, suggest that the following initial treatment strategies<br />

may have merit:<br />

Treatment for Depression in Bipolar Disorder-Depressed<br />

Bupropion (Wellbutrin®)<br />

Lamotrigine (Lamictal®)<br />

SSRIs such as fluoxetine (Prozac®) or sertraline (Zoloft®) if bupropion<br />

and lamotrigine are ineffective<br />

Treatment for Depression in Major Depressive Disorder<br />

SSRIs such as fluoxetine or sertraline<br />

Bupropion and lamotrigine if SSRIs are ineffective<br />

Note: It is important in the treatment for depression to recognize that some<br />

antidepressants may cause an episode of mania or hypomania in patients with<br />

depression who have never experienced such episodes in the past.<br />

Cognitive Behavioural Therapy<br />

focused on treatment for depression may<br />

also prove useful to help identify thought<br />

patterns and behaviours that operate as<br />

risk factors for mood <strong>disorders</strong>, and to<br />

encourage new, more successful<br />

behaviours.<br />

* Bipolar I and II, and major depressive<br />

<strong>disorders</strong> occur more commonly in<br />

patients with borderline disorder than<br />

they do in the general population. Bipolar<br />

II disorder is the most common type of<br />

bipolar disorder that occurs with<br />

borderline disorder. People with bipolar II<br />

disorder do not experience manic<br />

episodes as do those with bipolar I<br />

disorder, but do experience brief<br />

hypomanic periods and recurring<br />

episodes of depression. Depressions<br />

associated with bipolar disorder appear to<br />

be related to depressions referred to as<br />

atypical depression and seasonal affective disorder (SAD).

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